Individual
DR. JURACI MARIA DA SILVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., PH.D
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
018633-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LIC 018633-1
WC AUTH NO S18633-8W RATE CODE PSY
NY
Enumeration date
02/19/2016
Last updated
02/19/2016
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